title: Kissing iliac artery stent technique for salvage of hypogastric artery occlusion secondary to iliac artery dissection during endovascular aneurysm repair.
abstract: While undergoing endovascular aneurysm repair (EVAR), dissection occurred in bilateral common and external iliac arteries resulting in acute bilateral hypogastric artery occlusion. Attempts were made to reestablish flow to the left internal iliac artery via retrograde ipsilateral approach without success. A left brachial approach was used to gain access to the left internal iliac artery and kissing angioplasty and subsequent stent placement with 2 self-expanding stents was performed raising the iliac bifurcation to the level of the stent graft to salvage the internal iliac artery.
authors.affiliation: Division of Vascular and Endovascular Surgery, Robert C Byrd Health Sciences Center, West Virginia University School of Medicine Charleston Division, Charleston, WV, USA. pstone0627@yahoo.com
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Stone
authors.forename: John E
authors.initials: JE
authors.lastname: Campbell
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Hass
authors.forename: Akhilesh
authors.initials: A
authors.lastname: Jain
authors.forename: Hamza
authors.initials: H
authors.lastname: Kazmi
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001158:Arteries / Q000503:physiopathology; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D057510:Endovascular Procedures / Q000009:adverse effects*; D005260:Female; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D010388:Pelvis / Q000098:blood supply*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency